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Adopt-A-Stream Cleanup Scheduling Form

  1. Stream Cleanup Details
    Stream cleanup dates and supply requests must be submitted via this form no later than two weeks prior to the event date. This ensures that we can safely coordinate supply drop-off and trash pickup. If you need confirmation on your trash pick-up location, please email sphilbin@rockvillemd.gov.
  2. Events must follow current guidelines regarding social distancing, face coverings, and social gathering limits. 

  3. Clean Up Supply Request
    Supplies will be dropped off with no-contact to the address indicated below no later than 3 days prior to your cleanup date. Walk-in supply requests to City Hall cannot be accommodated. Volunteer Liability Waivers and Student Service Learning Hour forms will be provided in PDF form via email.
  4. Do you require supplies for your cleanup?*
  5. Available sizes are Youth (ages 8 and up), Small, Medium, Large and Extra-Large.
  6. Limit of 10 per group. 

  7. Ex. leave at front door, on porch, front desk etc.

  8. Leave This Blank:

  9. This field is not part of the form submission.